Individual
ANTOINE WATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
3057 BRIW RD, PLACERVILLE, CA 95667-5330
(916) 912-6123
Mailing address
3057 BRIW RD, PLACERVILLE, CA 95667-5330
(530) 642-7111
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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